Prostate Cancer Survival Rates: What They Mean
As cancer diagnoses go, prostate cancer is often a less serious one. Prostate cancer is frequently slow-growing and slow to spread. For many men, prostate cancer is less serious than their other medical conditions.
For these reasons, and possibly because of earlier detection of low-grade prostate cancers, prostate cancer has one of the highest survival rates of any type of cancer. WebMD takes a look at prostate cancer survival rates and what they mean to you.
How We Treat Prostate Cancer
The prognosis for metastatic prostate cancer can be discouraging, but some treatment centerslike the Johns Hopkins Precision Medicine Center of Excellence for Prostate Cancerspecialize in innovative, individualized therapy with the potential to improve outcomes.
How Prostate Cancer Is Diagnosed
There are many tests used for diagnosing prostate cancer. Not all tests described here are commonly used for every person. Your doctor may consider these factors when choosing a diagnostic test:
The type of cancer suspected
Your signs and symptoms
Your age and general health
The results of earlier medical tests
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How Would I Treat Stage 4 Prostate Cancer
- I would stop all the foods that cause cancer, and stop using all the household and bodycare products that leach toxins into the body.
- I would change to those foods that resonate with my body through personal testing as I describe in my book.
- I would only eat fresh organic foods, grains, nuts and seeds properly prepared and soaked to reduce the phytic acid cooked nourishing broths and meats from grass-fed and pastured animals and eat raw, unpasteurized dairy and eggs which have a completely different profile than conventional cancer-causing, factory-farmed and produced foods which are loaded with toxins.
- I would stop all harmful foods listed on this site and in my book. For end stage prostate cancer, I would stop all sugar and its substitutes. Why? They feed the cancer.
- I would undergo cleansing short fasts with freshly made vegetable juices if personally tested Yes. I would do a liver flush, or many, to rid the body of major toxins quickly and easily.
- I would ensure that if couldnt get adequate sun on my skin, I would at least take an adequate dosage of Vitamin D3 levels.
- I would take aloe vera juice each day and test for which supplements my body needed like zinc and magnesium.
End stage prostate cancer could then no longer find a host in my body for I would have changed the conditions that I either knowingly or unknowingly created that led to it.
Metastatic Prostate Cancer: Seeking A Fresh Chance Of Recovery
In 2012, a man in his 50s arrived at the Cleveland Clinic in Ohio with high-grade prostate cancer that had spread to a nearby lymph node. The treatment in such cases would ordinarily have been limited to drugs that block testosterone, a hormone that fuels prostate tumour growth. At the time, metastatic prostate cancer was considered uniformly fatal, and physicians were reluctant to subject someone to the side effects of surgery and radiation if these extra measures were unlikely to prolong life.
Part of Nature Outlook: Prostate cancer
But the man insisted on doing more. In addition to undergoing six months of hormonal therapy, he had his prostate and cancerous lymph node surgically removed. A tumour that was detected in his pelvic bones one year later was treated with radiation. The extra effort paid off. Hes eight years out now with no sign of cancer in his body, says Eric Klein, a urologist at the Cleveland Clinic who consulted on the case. Ever since, Ive been asking if there is a subset of patients like him who would also benefit from more aggressive treatment.
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Keeping Personal Health Records
You and your doctor should work together to develop a personalized follow-up care plan. Be sure to discuss any concerns you have about your future physical or emotional health. ASCO offers forms to help keep track of the cancer treatment you received and develop a survivorship care plan when treatment is completed.
This is also a good time to talk with your doctor about who will lead your follow-up care. Some survivors continue to see their oncologist, while others transition back to the care of their primary care doctor or another health care professional. This decision depends on several factors, including the type and stage of cancer, side effects, health insurance rules, and your personal preferences.
If a doctor who was not directly involved in your cancer care will lead your follow-up care, be sure to share your cancer treatment summary and survivorship care plan forms with them and with all future health care providers. Details about your cancer treatment are very valuable to the health care professionals who will care for you throughout your lifetime.
The next section in this guide is Survivorship. It describes how to cope with challenges in everyday life after a cancer diagnosis. Use the menu to choose a different section to read in this guide.
The word survivorship means different things to different people. Common definitions include:
Survivorship can be a complicated part of having cancer. This is because it is different for everyone.
Can I Survive Advanced Prostate Cancer Whats The Prognosis
Prostate cancer is the second leading cause of death from cancer in men, according to the National Cancer Institute. While theres no cure, men can live with it for years if they get the right treatment. Each man with advanced prostate cancer is different, of course. You and your cancer have unique qualities that your doctor takes into consideration when planning the best treatment strategy for you.
According to Harvard Medical School, the prognosis for men with advanced prostate cancer is improving because of newer medications that help them get past a resistance to androgen-deprivation therapy that typically develops after a few years of treatment. With these medications, many men are living longer, and a number of men diagnosed with advanced prostate cancer are dying with the cancer, not from it.
Promptly treating prostate cancer bone metastases with the newest medication can help change a mans prognosis dramatically, Tagawa says. There are men who do well for decades, he says. Some men can even stop treatment, go on to live many years, and actually die of something unrelated.
Tagawa says that cancer specialists who use sophisticated imaging technologies, like positron-emission tomography scans, have gotten very good at finding even tiny bone metastases, which is valuable in diagnosing and removing early stage metastases.
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What Can I Expect If I Have Metastatic Cancer
Your healthcare provider will work closely with you. Theyll monitor your symptoms and find treatments to ease them. Youll probably have many medical visits and will need to make important decisions regarding your overall health.
Is metastatic cancer curable?
In most cases, metastatic cancer is not curable. However, treatment can slow growth and ease many of the associated symptoms. Its possible to live for several years with some types of cancer, even after it has metastasized. Some types of metastatic cancer are potentially curable, including melanoma and colon cancer.
What is the metastatic cancer survival rate?
The five-year survival rate of metastatic cancer depends on the type of cancer you have. For example, the five-year survival rate for metastatic lung cancer is 7%. This means that 7% of people diagnosed with metastatic lung cancer are still alive five years later. Meanwhile, the five-year survival rate of metastatic breast cancer is 28% for women and 22% for men.
Detecting Prostate Cancer Progression
However, recent advances in imaging technology have given doctors better tools to find those stray cancer cells. We now have more sophisticated scans to pick these up before surgery, which only became available in the last 12 to 15 months, he says. Only time will tell if these will increase cure rates.
Men who have been diagnosed with prostate cancer undergo certain tests to see if the cancer has spread, including X-rays and CT, MRI and prostate-specific PET scans. Patients have these tests periodically in the years after initial treatment to keep tabs on the disease.
Symptoms such as bone pain and broken bones may also signify cancer spread. If prostate cancer patients experience those, they should alert their doctor, who may order the appropriate scans. However, the goal of newer imaging techniques is to pick up the cancer well before any symptoms develop.
Free Prostate Cancer Early Detection Event
The Buffalo Sabres and Roswell Park are partnering up once again to provide free prostate early detection screening to all eligible men, 45-70 years old. The event will take place on Monday, November 7, 2022 at KeyBank Center..
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Can Prostate Cancer Spread
Simple cases of prostate cancer can develop into metastatic ones. This type of cancer appears when cancer cells are starting to spread outside their ground zero areas, the prostate gland.
Once they reach other parts of the body, cancer cells are beginning to grow there. Even though the new development reacts as bone cancer or lung cancer, doctors are always naming the type of cancer according to the organ from which it first originated.
Hypothetically, prostate cancer can spread anywhere in the body. However, prostate cancer metastasis is usually attacking lymph nodes first. Once they are connected to the lymphatic system, they can easily travel to other parts of the body:
Stage 4 Prostate Cancer: Survival Rates Treatment And Support
Prostate cancer is in stage 4 when the cancer spreads beyond the lymph nodes and into other areas of the body. While the vast majority of prostate cancer cases are caught before this happens, when the cancer is treatable, stage 4 is far more difficult to treat. Therefore, the survival rate among men with stage 4 prostate cancer is much lower.
There are two types of stage 4 prostate cancer: 4A and 4B, according to the American Cancer Society. The type assigned to a persons diagnosis is based on whether the cancer has spread and to what degree, and the value assigned to two additional factors called the Grade Group and the prostate-specific antigen . The Grade Group is a measure of how likely the cancer is to spread quickly, and the PSA is a measure of a protein in the blood produced by cells in the prostate.
With stage 4A, the tumor has already spread into the lymph nodes and may be spreading into tissues adjacent to the prostate, but has not spread to other areas of the body. The Grade Group can be of any value, as can the PSA.
With stage 4B, the tumor may have spread into the lymph nodes, may be spreading into nearby tissues and has spread to other areas of the body like the bones, certain organs and distant lymph nodes. The Grade Group and PSA can be of any value.
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Symptoms Of Prostate Cancer
When this happens, you may notice things like:
- an increased need to pee
- straining while you pee
- a feeling that your bladder has not fully emptied
These symptoms should not be ignored, but they do not mean you have prostate cancer.
Itâs more likely theyâre caused by something else, such as prostate enlargement.
Quality Of Life With Advanced Stage Prostate Cancer
Since Huggins and Hodges won a Nobel Prize in 1966 for their work describing the relationship between testosterone and prostate cancer, androgen deprivation has continued to be an important component in the treatment of advanced prostate cancer. It is associated, however, with significant cost in terms of morbidity as well as economics. Side effects of androgen deprivation therapy include hot flashes, osteoporosis, loss of libido or impotence, and psychological effects such as depression, memory difficulties, or emotional lability. Recently Harle and colleagues reported insulin resistance, hyperglycemia, metabolic syndrome, and metabolic complications being associated with castration and thus being responsible for increased cardiovascular mortality in this population.
Because of the palliative nature of androgen ablation, quality of life is an important component of evaluating competing therapies. Intermittent androgen deprivation is one approach to hormonal therapy that has been developed with the aim of minimizing the negative effects of therapy while maximizing clinical benefits and the patients quality of life. It can be used in any clinical situation where continuous androgen deprivation treatment could be applied.
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Hormone Therapy With Radiation
Prostate cancer cells need testosterone to grow. Hormone therapy aims to drastically lower testosterone levels to slow the cancer’s progression. Although it does not cure the cancer on its own, hormone therapy improves the effectiveness of radiation for high-risk disease and is often recommended in conjunction with radiation therapy for men with intermediate- or high-risk localized disease. However, hormone therapy may have significant side effects. These include loss of libido , hot flashes , changes in mood or memory, loss of bone and muscle density, body fat gain, and adverse effects on sugar or cholesterol metabolism. When offered as short-term therapy in conjunction with radiation, it is often well tolerated. How long a patient should receive hormone therapy remains controversial and depends on how aggressive his cancer is.
Learn more about hormone therapy.
Is There A Genetic Component To Prostate Cancer
As mentioned earlier, cancer is a direct result of mutated genes that can no longer participate in the healthy development and growth and development process. For every type of cancer, there is a specific set of genes thought to contribute to it. Having mutations or abnormal variants of these genes doesnt necessarily mean that a person will develop an associated condition or type of cancer, but rather, means that their risk is increased. For this reason, possessing these mutations is considered a risk factor until the mutations start to cause a disruption in healthy gene function. When the function of a gene is altered and it begins to contribute to cancer growth, then it develops into a cause.
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Can A Prostate Biopsy Spread Cancer
A prostate biopsy helps doctors confirm or invalidate a prostate cancer diagnosis. Furthermore, the results of a biopsy help specialists determine the best treatment plan for that particular case.
However, on rare occasions, the needle needed to perform the biopsy of a tumor may dislodge and spread cancer cells. This phenomenon is called tumor seeding or needle seeding.
Reports of individual cases confirm that a tumor biopsy might help cancer cells spread. On the other hand, the advantages that come with a tumor biopsy far outbalance the minimal risks of needle seeding.
Prognosis And Survival For Prostate Cancer
If you have prostate cancer, you may have questions about your prognosis. A prognosis is the doctors best estimate of how cancer will affect someone and how it will respond to treatment. Prognosis and survival depend on many factors. Only a doctor familiar with your medical history, the type and stage and other features of the cancer, the treatments chosen and the response to treatment can put all of this information together with survival statistics to arrive at a prognosis.
A prognostic factor is an aspect of the cancer or a characteristic of the person that the doctor will consider when making a prognosis. A predictive factor influences how a cancer will respond to a certain treatment. Prognostic and predictive factors are often discussed together. They both play a part in deciding on a treatment plan and a prognosis.
The following are prognostic and predictive factors for prostate cancer.
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Surgery For Prostate Cancer
There are many types of surgery for prostate cancer. Some are done to try to cure the cancer others are done to control the cancer or make symptoms better. Talk to the doctor about the kind of surgery planned and what you can expect.
Side effects of surgery
Any type of surgery can have risks and side effects. Be sure to ask the doctor what you can expect. If you have problems, let your doctors know so they can help you.
Prostate Cancer Risk Assessment
Prostate cancer represents a wide spectrum of disease. Some prostate cancers progress and need treatment, while others grow slowly, if at all, and can be managed conservatively with a system of careful monitoring called active surveillance. It is important to learn the characteristics of your cancer before making treatment decisions. There are many ways to determine prostate cancer risk, most of which incorporate information from several parameters, including the PSA, Gleason score and tumor extent .
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Who Should Have Focal Therapy
Candidates for focal therapy must be carefully selected, most often based on well-performed, image-guided biopsy techniques . Patients with intermediate-grade tumors visible in a single location on imaging may be considered for focal therapy. Low-grade cancers can be treated this way but are usually more suitable for active surveillance. Some doctors feel that cancer close to the urethra can also be treated in this fashion, but there may be a higher risk of side effects or incomplete treatment. Some feel that additional candidates for focal therapy include patients with one dominant tumor as described above and a microfocus of low-grade disease elsewhere. These smaller cancer foci are followed through active surveillance.
Results of ablation therapies to date have been favorable, but the experience and time of follow-up are still limited. In addition, these patients must be evaluated carefully to avoid undertreating their cancer, and after treatment, they need to have periodic imaging, PSA assessment and at least one follow-up biopsy.